Organization
BLOOMING MINDS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY PAWLAK LMFT (OWNER)
(931) 387-6004
Entity
Organization
Contact information
Practice address
111 E MORFORD ST, MCMINNVILLE, TN 37110-2521
(931) 386-6300
(931) 386-6301
Mailing address
111 E MORFORD ST, MCMINNVILLE, TN 37110-2521
(931) 386-6300
(931) 386-6301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
174400000X
Specialist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023421302
NPI 1
TN
01
—
1396496790
NPI 2
TN
05
—
Q0714772
—
TN
Enumeration date
01/17/2022
Last updated
12/29/2025
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